<div class="box box-primary">
	<div class="box-header">
		<h3 class="box-title"><span style="color:#3C8DBC !important;">In order to register as <b>Employer</b> please fill the form below:</span></h3>
	</div><!-- /.box-header -->
<form role="form" action="<?php echo base_url(); ?>employers/register" method="post">
	<section class="content overried-shadow">
		<div class="row">
			<!-- left column -->
			<div class="col-md-6">
				<!-- general form elements -->
				<div class="box box-primary">
					
					<!-- form start -->

					<div class="box-body">
						<div class="form-group">
							<label for="username">Username <span class="required">*</span></label>
							<input type="text" class="form-control" id="username" name="username" placeholder="Username" value="<?php echo set_value('username'); ?>" required="required">
							<?php echo form_error('username'); ?>
						</div>
						<div class="form-group">
							<label for="email">Email <span class="required">*</span></label>
							<input type="email" class="form-control" id="email" name="email" placeholder="Email" value="<?php echo set_value('email'); ?>" required="required">
							<?php echo form_error('email'); ?>
						</div>
						<div class="form-group">
							<label for="company">Company <span class="required">*</span></label>
							<input type="company" class="form-control" id="company" name="company" placeholder="Company Name" value="<?php echo set_value('company'); ?>" required="required">
							<?php echo form_error('company'); ?>
						</div>
						<div class="form-group">
							<label for="password">Password <span class="required">*</span></label>
							<input type="password" class="form-control" id="password" name="password" placeholder="Password" required="required">
							<?php echo form_error('password'); ?>
						</div>
						<div class="form-group">
							<label for="conf_password">Confirm Password <span class="required">*</span></label>
							<input type="password" class="form-control" id="conf_password" name="conf_password" placeholder="Confirm Password" required="required">
							<?php echo form_error('conf_password'); ?>
						</div>
						<div class="form-group">
							<label for="website">Website </label>
							<input type="website" class="form-control" id="website" name="website" placeholder="Website" value="<?php echo set_value('website'); ?>" required="required">
							<?php //echo form_error('last_name'); ?>
						</div>
						
					</div><!-- /.box-body -->

					<div class="box-footer">
						<button type="submit" class="btn btn-success">
							<span class="glyphicon glyphicon-saved"></span> Register
						</button>
					</div>

				</div><!-- /.box -->

			</div><!--/.col (left) -->
			<!-- right column -->
			<div class="col-md-6">
				<!-- general form elements disabled -->
				<div class="box box-primary">

					<div class="box-body">
						<div class="form-group">
							<label for="company_desc">Company Description</label>
							<textarea class="form-control" rows="5" name="company_desc"><?php echo set_value('company_desc'); ?></textarea>
							<?php //echo form_error('company_desc'); ?>
						</div>
						
						<div class="form-group">
							<label for="address">Address</label>
							<textarea class="form-control" rows="5" name="address"><?php echo set_value('address'); ?></textarea>
						</div>
						
						<div class="form-group">
							<label for="phone">Phone </label>
							<input type="text" class="form-control" id="phone" name="phone" placeholder="Phone" value="<?php echo set_value('phone'); ?>" required="required">
							<?php //echo form_error('phone'); ?>
						</div>
						<div class="form-group">
							<label for="fax">Fax </label>
							<input type="fax" class="form-control" id="fax" name="fax" placeholder="Fax" value="<?php echo set_value('fax'); ?>" required="required">
							<?php //echo form_error('last_name'); ?>
						</div>
						
						<div class="form-group">
							<label for="">&nbsp;</label>
							<input type="checkbox" value="1" name="subscribe"/> I would like to subscribe to the	jobpending.com	
							<?php //echo form_error('title'); ?>
						</div>
					</div><!-- /.box-body -->
				</div><!-- /.box -->
			</div><!--/.col (right) -->
		</div>
		<!-- /.row -->
	</section><!-- /.content -->
</form>
</div>